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Organization
SELF REGIONAL HEALTHCARE
Active
Organization
SELF REGIONAL HEALTHCARE
Active
Other names
Lakelands Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW TOLBERT LOGAN (PRESIDENT AND CEO)
(864) 725-4780
Entity
Organization
Contact information
Practice address
83 THOMSON CIR, ABBEVILLE, SC 29620-5652
(864) 366-5122
(864) 366-6123
Mailing address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 725-5168
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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